Plea to reopen the screen time debate as the recommended guidelines are exceeded on a daily basis

The recommendations are probably well known. The American Academy of Pediatrics (AAP) published an update in 2013 and the basis ideas are:

  • Children should be limited to less than two hours of entertainment-based screen time per day,
  • they shouldn’t have TVs or Internet access in their bedrooms,
  • television and other entertainment media should be avoided for infants and children under age 2.
    (See more here)

But that’s theory. New research shows that the amount of time children spend using screens, such as televisions and computers, on a daily basis exceeds recommended guidelines. While the researchers argue that these guidelines were drawn up at a time when tablets, cell phones and other mobile devices were not as present in everyday life (they were when the update was published),  they do think they need to be redrafted. The question remains: do we need to redraft them because nobody seem to comply or because there is no real evidence for the negative effect. The study looks at the first option.

From the press release:

Prolonged use of screens by children is associated with adverse physical and mental health outcomes, such as increased risk of depression and anxiety in adolescent girls. Although the present study does not look directly at health effects on children, it is part of a longitudinal study which will.

In 2001 the American Academy of Pediatrics published recommendations that children under the age of two should have no exposure to screens and those over the age of two should have their exposure limited to less than two hours a day. These guidelines and most follow-up studies have been based on asking children about watching TV and playing computer games and without asking about other types of screen media.

To address this, researchers from the University of Western Australia surveyed 2,620 children aged eight to 16 years from 25 primary and secondary schools in Australia. The schoolchildren were shown different screen types, these included: iPad, iPod Touch, laptop, Portable PlayStation, laptop computer and Xbox, and given examples of the different types of activities that could be done with these screens: watch TV, use instant messenger, play computer games, do school and homework.

They were then asked about how many hours they used these screens, from when they woke up until they went to bed, including before, during and after school. It was found that an average of 63% of respondents exceeded the recommended guidelines of less than 2 hours. The most popular screen use with all participants was TV, with 90% of reporting watching TV in the last week; this was followed by laptop (59%), iPad/tablet (58%) and mobile phone (57%).

There was variation on screen use within individual age groups: 45% of the youngest participants (aged eight years) exceeded the guidelines, and 80% of those aged 14-15 years. There was also a difference in screen use between the sexes as noted by lead researcher Stephen Houghton: “As anticipated boys were more likely than girls to exceed the less than 2 hours recommendation for playing computer games. But it was unexpected that girls were more likely than boys to exceed the less than 2 hours recommendation for social networking, web use, and TV/DVD/movies.”

“Of particular interest is the rate at which girls are more likely to exceed the less than two hours recommendation for social networking as they got older. Specifically, by 15 years of age girls were over 15 times more likely to exceed the less than 2 hours recommendation compared to their Grade 3 (8 year old) peers, and almost 7 times more so than boys.”

This study was based on self-reported use of using different types of screens but did not investigate how this has a direct effect on the children’s health. Future studies should try to address this by having more objective measurements on screen use and what impact it has on health.

Stephen Houghton says: “The introduction of mobile devices suggests the less than two hours per day recommendation may no longer be tenable given the surge in social media engagement and school derived screen use. Guidelines for appropriate screen use, should also take into account the extent to which screen use differs across form, activity, sex, and age.”

Abstract of the study:

 Background
Paediatric recommendations to limit children’s and adolescents’ screen based media use (SBMU) to less than two hours per day appear to have gone unheeded. Given the associated adverse physical and mental health outcomes of SBMU it is understandable that concern is growing worldwide. However, because the majority of studies measuring SBMU have focused on TV viewing, computer use, video game playing, or a combination of these the true extent of total SBMU (including non-sedentary hand held devices) and time spent on specific screen activities remains relatively unknown. This study assesses the amount of time Australian children and adolescents spend on all types of screens and specific screen activities.

Methods
We administered an online instrument specifically developed to gather data on all types of SBMU and SBMU activities to 2,620 (1373 males and 1247 females) 8 to 16 year olds from 25 Australian government and non-government primary and secondary schools.

Results
We found that 45% of 8 year olds to 80% of 16 year olds exceeded the recommended < 2 hours per day for SBMU. A series of hierarchical linear models demonstrated different relationships between the degree to which total SBMU and SBMU on specific activities (TV viewing, Gaming, Social Networking, and Web Use) exceeded the < 2 hours recommendation in relation to sex and age.

Conclusions
Current paediatric recommendations pertaining to SBMU may no longer be tenable because screen based media are central in the everyday lives of children and adolescents. In any reappraisal of SBMU exposure times, researchers, educators and health professionals need to take cognizance of the extent to which SBMU differs across specific screen activity, sex, and age.

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Filed under Research, Social Media, Technology, Youngsters

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